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DR. CAROLYN M PHELPS MD
NPI 1639374432
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since June 20, 2007Opted out of Medicare · through Nov 6, 2027
1112 NE 21ST AVE, SUITE 6, PORTLAND, OR 97232(503) 335-1113(503) 334-4333 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carolyn M Phelps Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLYN M PHELPS MD (NPI 1639374432) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD150022) and active in the NPI registry since June 2007. She has opted out of Medicare through November 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639374432
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CAROLYN M PHELPSCredential: MD
Location Address1112 NE 21ST AVE, SUITE 6Portland, OR 97232-2595
Mailing Address1112 Ne 21st Ave, Suite 6Portland, OR 97232-2595 · (503) 335-1113 · Fax (503) 334-4333
Phone(503) 335-1113
Fax(503) 334-4333
Sole ProprietorYes
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 8, 2011
✔ NPI 1639374432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OR · MD150022
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1112 NE 21ST AVE, Portland, OR 97232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carolyn M Phelps Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2017 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2017
Opt-Out In Effect ThroughNovember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS M RICHARDSON PH.D.
Psychologist (Clinical)
1112 NE 21ST AVE, SUITE 5
PORTLAND, OR 97232
Multnomah County (503) 281-1897

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Phelps's NPI number?

The NPI number for Carolyn Phelps is 1639374432. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Carolyn Phelps located?

Carolyn Phelps practices at 1112 NE 21st Ave Suite 6, Portland, OR 97232. The listed phone number is (503) 335-1113.

What is Carolyn Phelps's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carolyn Phelps enrolled in Medicare?

No. Carolyn Phelps has opted out of Medicare through November 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carolyn Phelps accept?

Health plans from Regence BlueCross BlueShield of Oregon list Carolyn Phelps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Phelps was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.